About Ahmed Tube Shunts
When a diagnosis of glaucoma is made after the disease is in the later stages, or if it has progressed more rapidly than predicted, aggressive treatment may be necessary. One form of aggressive treatment is the Ahmed tube shunt, which is a device that is implanted into the eye to quickly drain built-up fluid. The Ahmed tube shunt looks very much like a tiny, flat computer mouse. The “mouse” portion is placed on the surface of the eye just beneath the conjunctiva, and the “cord,” or shunt, is inserted into the front of the eye to drain fluid. The shunt won’t degrade within the eye because it is made of either silicone or polypropylene.
At Koch Eye Associates, we have many highly experienced ophthalmologists on our team who conduct this procedure with the utmost precision and receive excellent results. Read more about the Ahmed tube shunt below and schedule a consultation at one of our Rhode Island facilities in Wakefield, Woonsocket, North Kingstown, Warwick, Providence, or Johnston if you think you may be a candidate.
"I first went to Koch Eye many years ago after being referred there for a follow up appointment after being treated at the emergency room for an eye injury, That was the only time I actually saw Dr. Koch himself (who was very nice by the way) It is only in the last few years (since my old lady eyes have begun to need reading glasses) that I have come in regularly for my eye exam and glasses prescription. I never have any problem with wait time because there are several optometrists. Really the only thing I am not crazy about is their hours. I wish it was possible to get an evening appointment or that there was an occasional Saturday. The office staff is pleasant and courteous"- I.C. / Yelp / May 09, 2019
"The staff was great good exam. They took the time to explain what and why the we’re doing"- A.R. / Facebook / Jan 30, 2020
"I had been going to Vision World/ Works for the last 20 years for eye exams, glasses, contacts. When I was last seen a few years ago I was told my eyes had weakened and I needed -6.0 in my left eye and -5.0 in my right, a substantial increase from -4.75 left and -3.75 right two years before. Needless to say I experienced hyperopia and needed readers for the first time. I wasn't able to read labels, see my phone, or use a laptop without readers of at least +2.5. I was recentl...y seen by Dr Besen at Koch Eye who prescribed contacts of -5.25 left and -4.25 right. I'm absolutely certain that Vision World had me in lenses that were too strong because now I can see my laptop without readers, and I can see my phone if I hold it at arms length. Not only can I see better (for distance as well as close up), but the entire experience of walking into Koch, being greeted by reception, having a preliminary exam by the optician assistants, receiving a full eye exam by the optometrist, being properly fitted for glasses by the optician, and checking out with reception, is exponentially superior with Koch. Clearly the entire staff enjoy their careers, and are friendly, professional, and completely competent. Thank you, Koch Eye Associates! I will recommend you to everyone I know. Sincerely, Kate Carroll"- K.C. / Facebook / Nov 13, 2019
"I had an excellent cataract removal experience with the well coordinated surgery team at St James Surgery Center. They put a very personal touch on a professionally orchestrated surgical process. Everything from intake/insurance approval thru going home instructions was clear. The center is easy to get to with plenty of parking. The surgery prep room made me think, "this is a really good team - lots of smooth handoffs and cross checking to insure accuracy! There were a bunch of chairs that convert to operating tables and they move patients in and out at an impressive pace. Well oiled machine!! They were a friendly and (seem like a) happy crew! What I really liked was the results of my surgery!! Dr Sayeah is friendly and confident, justifiably proud of the skills he has mastered. He gives people their sight back for a living! Needless to say, I'm thrilled to see with real clarity (and in color!!) again!!"- R.W. / Google / Sep 24, 2020
"Had LASIK on 8/14/2020, great experience, I was well informed of what to expect. No surprises. Dr. Gerber was very professional and has good bed side manners. For my follow up the next day I saw Dr. Bae and she was very nice, friendly and sweet. The entire staff at all the locations I have visited for eye exams, purchase glasses and/or contacts have been very nice. Very nice and clean locations, everyone wears a mask and practice social distancing as much as possible. I am glad I had this team for my surgery and my family eye care needs."- S.R. / Yelp / Aug 25, 2020
While there is no one particular treatment of glaucoma that is a fit for everyone, you might be a candidate for the Ahmed tube shunt if:
- You have glaucoma that is the result of medical issues, such as diabetes
- You have had previous unsuccessful glaucoma laser treatments or surgeries
- You have had a traumatic eye injury that resulted in excessive scar tissue
Like with any surgical eye procedure, you will need to have an evaluation with an experienced ophthalmologist to determine whether you are eligible for the Ahmed tube shunt. This evaluation will include a comprehensive eye exam, as well as discussion about your condition and your lifestyle. Once your evaluation is complete, your ophthalmologist will be able to provide you with a detailed diagnosis and treatment plan.
What to Expect
Most of the surgeries performed by Koch Eye Associates, including the Ahmed tube shunt, are done at the St. James Surgery Center in Warwick, RI. The Ahmed tube shunt treatment is performed as an outpatient procedure by an experienced ophthalmologist. Before your procedure begins, you will be given anesthetic eye drops to ensure you are comfortable throughout the process. First, the surgeon will place a device over your eye that will hold it open during the procedure and will keep you from blinking or moving your eyeball. Then the shunt will be inserted, creating a pathway for the fluid to drain out of the eye. Due to its position within the eye, you will not be able to see the shunt. After your procedure is finished, the surgeon will administer more special eye drops that are meant to prevent pressure spikes. Finally, your eye will be taped shut and bandaged, and you will be given a patch to wear.
We will ask you to come back for several follow-up visits over the months following your surgery. These follow-up visits allow us to check the progress of your healing, as well as the state of your internal eye pressure. These appointments are crucial to your recovery so it is very important that you make sure to attend them all. It is equally important that you are vigilant about taking any medication we prescribe and that you take it as recommended.
Glaucoma Pressure Relief
At Koch Eye Associates, we know that the idea of being diagnosed with and treated for glaucoma can be a little intimidating. We are here to provide you with comprehensive treatment, as well as all the care and support you need to maintain your normal lifestyle during and after treatment. Our Rhode Island facilities are equipped with cutting-edge technologies and traditional techniques that our professionals use to protect you from the progression of glaucoma. All you need to do is schedule your appointment, and we will guide you through the rest.